Which of the following residents of a long-term facility is exhibiting clinical manifestations of hypothyroidism?
A) An 80-year-old woman who has uncharacteristically lost her appetite and often complains of feeling cold
B) A 90-year-old woman with a history of atrial fibrillation whose arrhythmia has recently become more severe
C) An 88-year-old man with a history of Alzheimer disease who has become increasingly agitated and is wandering around the facility more frequently
D) A 91-year-old man with a chronic venous ulcer and a sacral ulcer who has developed sepsis
Ans: A
Feedback:
Loss of appetite and cold intolerance are characteristic symptoms of hypothyroidism. Arrhythmias, agitation, and infections are not typically associated with hypofunction of the thyroid gland.
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